Box 8, Folder 20, Document 39

Box 8, Folder 20, Document 39

CITY OF ATLANTA



OFFICE OF MODEL CITIES PROGRAM

565 Hill St. SE
Atlanta, Ga. 30312
404-524-8876

Ivan Allen Jr... Mayor
J. C. Johnson, Director

REQUISITION FORM

Neighborhood Funds for Resident Involvemen ¢ /o

Community Affairs Department

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(Community)
Date Requested: Li ae og G of cd

Date Needed:



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Requested Amount : & oWlh 73 #189. rey,

Purpose: a "17200 Seria
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Authorized Signatures:




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; Approved: SPo wm
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ics Coordinator

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Action: